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1124802475
LAUREN GRACE TANNER
PLYMOUTH, IN
NPI
1124802475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71014220A)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
LAUREN GRACE TANNER FNP-C
105 WATER ST
PLYMOUTH, IN 46563-2148
Phone number: 574-540-2052
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Mailing Address
LAUREN GRACE TANNER FNP-C
105 WATER ST
PLYMOUTH, IN 46563-2148
Phone number: 574-540-2052
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